Individual
MR. EUGENE A PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3800 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-8510
(269) 428-2552
(269) 428-2943
Mailing address
17511 HEPLER ST, SOUTH BEND, IN 46635-1831
(574) 276-6248
(269) 428-2943
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002633
MI
Other
Enumeration date
09/15/2006
Last updated
03/23/2011
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